Angela_operating_on_lilah

We never know how the day is going to go when we get up every morning, because we never know what we’re going to find.  That’s what happens when you’re caring for more than 80 animals.  Today’s ‘morning surprise’ was finding that our mare Lilah had punctured her right eye overnight.  This wasn’t your typical corneal ulcer, but a deep, penetrating wound that went all the way through the cornea and into her eye.  The internal contents of her eye were leaking out and down her face.  I couldn’t imagine the pain.

Lilah can see but has night blindness, so she’s the spirited boss of the sighted horse herd during the day but a meek little thing at night.  When this trauma happened she was in her corral, which has smooth Priefert panels for fencing, so we have no idea at this point how she did this.   

Ironically, our equine vet, Dr. Erin Taylor, has been in Florida this week attending a special equine ophthalmology program taught by Dr. Dennis Brooks, Professor of Ophthalmology at the University of Florida’s College of Veterinary Medicine, and three other leading equine ophthalmologists.  Thus I called Dr. Angela Langer, Erin’s colleague at Blue Mountain Veterinary Hospital, when we discovered Lilah’s injury. 

Angela said she would get here as fast as she could, and in the meantime she had me inject some IV banamine in Lilah for pain control.  Angela arrived with Amy P., the fourth-year vet student from Oklahoma State University who had been out here a couple of weeks ago with Erin as part of her ‘externship’ training.  In the photo at top, that’s Angela on the left doing surgery while Amy assists.  This is what Lilah’s eye looked like when we got her in the horse stock:

Lilah_eye_puncture_2

It actually looked worse than this, but her eyelashes are covering up the actual puncture site.  There was nothing we could do other than take the eye out — it’s called enucleation — so Angela and Amy got Lilah sedated and proceeded to surgery:

Amy_and_angela_with_lilah

This procedure is called a ‘standing enucleation’ because the horse is sedated, rather than put under general anesthesia, to remove the eye.  This eliminates the risks associated with anesthetizing horses.  A landmark study published in last month’s issue of the medical journal Veterinary Surgery evaluated the use of standing enucleations as an alternative to the same surgery under general anesthesia, and concluded:  "These results demonstrate that an eye can be safely and humanely
removed without having to anesthetize the patient, making it a safer,
more economical approach."  (My emphasis.)

And here’s Angela cleaning up Lilah’s face after the surgery:

Angela_with_lilah_after_surgery

While we had Lilah sedated we noticed her left eye was undergoing changes, but what exactly was going on we weren’t sure.  When Erin returns, fresh from her ophthalmology training, she can tell us whether Lilah will be joining the ranks of the blind horse herd some day!

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9 responses to “Now That Hurt”

  1. ginger & Tobias (the greythound) Avatar
    ginger & Tobias (the greythound)

    I’m so sorry that Lilah had such a horrible day, but it looks like she got excellent care. I hope she has an uncomplicated, speedy recovery.
    Extra get well hugs to Lilah,
    ginger, Tobias, & Tlingit

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  2. Kathy Huffman Avatar
    Kathy Huffman

    Oh, how awful for her to be in so much pain. Poor thing. The picture is bad enough, I think I am glad we couldn’t see how bad it actually was. I can’t imagine how you must have felt waiting for the vet to arrive to help Lilah. Hope she feels better.

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  3. Andrew, NZ Avatar
    Andrew, NZ

    I’ve read a few RDR blogs mentioning the procedure so I have to ask, Steve/Alayne what happens inside the now empty socket?

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  4. maggie Avatar
    maggie

    That looks and sounds very painful; I can’t imagine how excruciating it must have been when she did it, and then waiting until morning, and throughout the procedure. Thank goodness she is already at RDR, bc if she were to have such an eye injury almost anywhere else her owners wouldn’t know what to do with her or how to keep her…Get well soon, Lilah!

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  5. Barbara Arenal Avatar
    Barbara Arenal

    I cannot imagine how traumatic it must have been for you to see this beutiful horse with such a terrible injury and not know how many hours had passed since it occured. But, these things sometimes happen with our animals when we are unaware or away. Bless her poor little heart. She got the best of care tho,as always at RDR, and I’m quite sure, lots of special loving care from you & Alayne to help her recover after surgery. You are both so amazingly strong to “face the unknown” every day, and I am constantly in awe of your stamina. I will pray for a perfect recovery for her. And maybe Roy could keep her company while she heals. Might help his wounded heart too!

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  6. Carla Polastro-Nigro Avatar

    What an ordeal for poor Lilah! I’m sure she’s feeling much better now that the wounded eye is gone…
    Hope she’s not going to lose sight in her left eye in the near future.
    Please give her a big hug for me.

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  7. Debbie Avatar
    Debbie

    That was a hard one to see. Poor girl, I hope she is out of pain now. Maybe you can hook her up with Roy.
    Dr. Taylor is in my neck of the woods now, enjoying the Florida sunshine. UF is one of the best vet schools in the states, welcome Dr. Taylor.

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  8. Angela Avatar
    Angela

    Thank God for wonderful vets and wonderful caring people – all of you – to get Lilah through her ordeal. Tons of well wishes to you Lilah that you will be feeling good again really soon!

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  9. Moon Rani Avatar

    I once had a dog whose eye ruptured spontaneously. She never felt a thing and I hope Lilah didn’t have pain, either, poor, dear thing. Best wishes for her recovery!

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